NPI | 1902023625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: CA A80339) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A80339) |
207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: CA A80339) | |
207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: CA A80339) | |
Enumeration Date | 2007-04-20 |
Last Update Date | 2021-12-01 |